Cisterna-chyli-Ablation bei drei Katzen mit idiopathischem Chylothorax

C. Thiel; S. Held; M. Kramer

doi:10.1055/s-0038-1623714

Tierärztliche Praxis Ausgabe K: Kleintiere / Heimtiere, Table of Contents

Tierarztl Prax Ausg K Kleintiere Heimtiere 2013; 41(04): 221-228
DOI: 10.1055/s-0038-1623714

Originalartikel

Schattauer GmbH

Cisterna-chyli-Ablation bei drei Katzen mit idiopathischem Chylothorax

Cisterna chyli ablation in three cats with idiopathic chylothorax

Authors

C. Thiel

¹Klinikum Veterinärmedizin, Klinik für Kleintiere, Chirurgie, der Justus Liebig Universität Gießen
S. Held

²Klinikum Veterinärmedizin, Klinik für Kleintiere, Innere Medizin, der Justus Liebig Universität Gießen
M. Kramer

¹Klinikum Veterinärmedizin, Klinik für Kleintiere, Chirurgie, der Justus Liebig Universität Gießen

Abstract

Zusammenfassung

Gegenstand und Ziel: Vorgestellt werden drei Katzen mit chronischem idiopathischem Chylothorax, die im Rahmen der chirurgischen Therapie einer Cisterna-chyli-Ablation unterzogen wurden. Material und Methoden: Beschrieben werden neben der klinischen Symptomatik, Diagnostik, Therapie und dem Krankheitsverlauf dreier Patienten mit idiopathischem Chylothorax die Technik der Cisterna-chyli-Ablation bei der Katze. Ergebnisse: Bei allen drei Patienten verlief die Zerstörung der Lendenzisterne ohne intraoder postoperative Komplikationen. Die Cisterna chyli lässt sich durch präoperative Gabe einer kleinen Menge eines fettreichen Nahrungsmittels oder intraoperativ durch Injektion von verdünntem Methylenblau in das Lymphgefäßsystem ohne Schwierigkeiten darstellen. Die Cisterna-chyli-Ablation wurde nach erfolgloser Ductus-thoracicus-Ligatur, als Zusatztherapie zur Ligatur des Ductus thoracicus und subtotalen Perikardektomie sowie als ausschließliche Therapie angewandt. Klinische Relevanz: Die Cisterna-chyli-Ablation kann bei der Katze ohne Komplikationen durchgeführt werden. Sie sollte bei erfolgloser vorangegangener Therapie oder als Kombinationstherapie mit anderen chirurgischen Verfahren zur Senkung der Rezidivgefahr in Erwägung gezogen werden.

Summary

Objective: Presentation of three cats with chronic, idiopathic chylothorax treated with ablation of the cisterna chyli as an additional or a sole surgical treatment. Material and methods: Results of clinical and diagnostic examination, therapy and course of disease in three cats as well as the surgical technique of ablation of the cisterna chyli in cats are described. Results: There were no intraoperative or postoperative complications regarding cisterna chyli ablation. Intraoperative visualization of the cisterna chyli is easily achieved by administering a small portion of a fatty aliment preoperatively or by injection of diluted methylene blue into the lymphatic system intraoperatively. Ablation of the cisterna chyli was performed following an unsuccessful ligation of the thoracic duct, in combination with the ligation of the thoracic duct and subtotal pericardectomy or as a single surgical treatment. Clinical relevance: Cisterna chyli ablation can be performed without complications in cats. This technique should be considered in cases of previously failed surgical therapy or as an adjunct therapy used with other surgical options to decrease the risk of recurrence.

Schlüsselwörter

Lendenzisterne - Ductus thoracicus - Thorakotomie - lymphatisches System - Perikardektomie

Key words

Loin cistern - thoracic duct - thoracotomy - lymphatic system - pericardectomy

Full Text

References

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